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HomeMy Public PortalAbout6317 SULTANA AVE_Electrical__ 76,663-Cy 806#11-71 APPLICATION FOR ELECTRICAL PERMIT IJ .• ,y, COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING DING u Q. BUILDING AND SAFETY DIVISION S. LOCALITY Low `e ;. NEAREST FOR APPLICANT TO FILL IN. CROSS ST, j'(1 cL�JLJ+ OUTLETS NO. EACH FEE OWNER RECEPT.Z $ $ MAIL FIRST 20 l3 25 XS ADDRESS .9�C' LIGHT?` TOTAL ` CITY '��[ `e � TEL. NO. SWITCH J -L-3- OVER 20 ,10 PLANCHECK TOTAL LIGHTING FIRST 20 3 .25 7 S APPLICANT FIXTURES OVER 20 .f0 ADDRESS � RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT -1RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. . ADDRESS, oZ3/ LfS Gd/LJ �� SPACE HTR. AIR COND.� CITY TEL. NO./VP�2 CLOTHES WASH. DISHWASH. LICENSE NO. Y�� CLASS.C# V FAN OTHER / 1.00I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION l ! AND STATE-THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND, HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY-AND STATE OF d CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 - 10 9.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTI PROPERTY. O SIGNATURE Ilm 10 - 50 5.00 OF PERM IITTEE � t•LJyisd 0 Q 50- 100 10.00 b DISTRICTNO. CLASS ZONE PROCES ED BY W 100 - 500 15.00 :?, SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: TUBE, OR MARQUEE ADDITIJONAL CIRCUITS 1A0 SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE S ERVI CE OVER 600 VOLTS OR 200 AM P 10.00 TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING rj 7— FIXTURES FIXTURES POWER AUTHORIZED O Z PERMIT FEE (SUB TOTAL) jr CJD UTILITY CO. NOTIFIED PLAN CHECK FEE FINAL PERMIT ISSUING FEE 3.00 3 OD �. TOTAL FEE , PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION K. M.0. CASH tfllio9 .2 7 '70 -Qr17 2 0 1 1...&Ycq SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE P 6A333 E8 6 1'62' APPLICATION FOW EL TRICAL- PERMIT - COUNTY OF LOS ANGELES , DEPARTMENT OF COUNTY ENGINEER BUILDING 631 N. 'SULTANA BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER ,�•, WILLIAM A.'JENSEN;SUPT OF BUILDING LOCALITY SAN GABRIEL• -FOR APPLICANT TO FILL IN CROSS sT:LONG-DON RECEPT• TOTAL NO. EACH FEE OUTLETS FIRST 20 p '$. ' " s.' 1' 80. OWNER BRANS ON. f LIGHT 7 / 9 ADD'L ,10 -ADDRESS ESS'" OVER 20 _ LIGHTING; TOTAL FIRST 20 :20 i 60CITY'- TEL.NO. FIXTURES } 3 AnD'L :10 ELECTRICIAN:CONLEE & SON ELECTRIC ' OV R 20 RANGES CLO.DRYERS WTR.HTRS. '1.00 ADDRES61030 N. GRANDVIEW AVE. 'GARB.DISP: �;• STA.COOK -•• CITY SO. SAN .•NoAT•WAN _ DISHWASH. AUTO.-WASH." STATEL _ SPACE HTRS. STA,APP.(V&H:P:.MAX.) 1' .,5p, JC LICENSE NO. .1' 75® C—lO MOTOR$, OVER ` NOT OVER H.P. ;DISTRICT O!E GROUP. P SSED BY O 1 1.00 + 1-J AC• 1 S 1:50 U5 INSPECTION. RECORD' a 1s 2.50 -V O, ,1's so 3.00 u " ., De so _. 100 5.00 0 SIGNS, NO.TRANS• u, NO.LAMPS - ' _ Lua SERVICE 0.600V-NOT-OVER 200A 1.00 1' .0 I Z SERVICE 0.800V-OVER 200 A. 2.00 SERVICE OVER 800V 5.00 r n MISC. PERMIT-ISSUING FEE :2.00 2 0 - I SUPPLEMENTARY-PERMIT ISSUING FEE, 1.00 `+ TOTAL FEE 8 7*40 .I HEREBY ACKNOWLEDGE.THAT 1 HAVE READ'THIS APPLICATION APPROVALS DATE INSPECTOR'S'SIGNATURE- AND STATE-THAT THE'ABOVE IS CORRECT AND AGREE TO COMPLY . CONDUIT S ,I'. •S'• WITH ALL-COUNTY'ORDINANCES' AND STATE LAWS REGULATING ELECTRICAL WIRING. - f"j� "�,• WIRING ;"�•j''��.:;j_ .i ^Y3..:,-•+—'�.r I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE ',OF FIXTURES 1`Z -Co3 ./ •D' ^�• CALIFORNIA OR THA THE LEGA OWNER OF THE ABOVE , DESCRIBEC.RESIDENT A PR PE POWER SIGNATURE UTILITY CO.NOTIFIED • 1-(a3 OF PERMITTEE • FINAL. LIDATION ARTHUR C. VEIT V CK MO "CASH 'SUPERVISING ELECTRICAL ENGINEER` a Li tC' 0 0 2 4"I'DJAPE'2.2' 2 D 7.4 O N v 76A66 r,• hffirm{th I how. u cerci DECLARATION C:E-&M 10/81 APPLICATION FOR ELECTRICAL PERMIT 41,:,ereby Sffirm that I he,ru u certificate of consent to self `E-t106G insure, or a•certificate ,VIVOrkers'Compensation Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY or a certified copy eo#(Sec. 3800, Lab. C.) / cog '� Poli y No, --Company PGI%1R•� FOR APPLICANT TO FILL IN ADDRESS !rP 1 c�MIL� /U Certified copy is hereby furnished. New Residential Bldgs. &Pools EACH NO FEE ❑ _ I&A Certified copy is filed with the county budE LOCALITY ding inspec- 1 &2-Family, Sq. Ft. tion department' Multi-family Sq. Ft. — NEAREST 6 Residential Swimming Pools CROSS ST. Date Applicant OWNER OR FIRM NAME I�G COVI4 4 �C4 C', Ici. CERTIFICATE OF EXEMPTION FROM WORK S' Outlets: Rec�Ljght�Sw.� MAIL 3 COMPENSATION INSURANCE ADDRESS 0 f3e 03 (This section need not be completed if tho work involved by j First 20 the permit is for one hundred dollars($100)or loss.) Total No. Additional CITY ALp•{ M 04 Tel. No.� I certify that in the performance of the work for which this PLAN CHECK APPLICANT permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. Lighting Fixtures First 20 49,91 ADDRESS Total No.— Additional CITY Tel. No. Date Applicant Fixed Appliances Not Over 1 HP PERMIT NOTICE TO APPLICANT: If, after making this Certificate of 5 APPLICANT HM CN-g41q. Exemption, you should become subject to the Workers' Range_ Heater_D.W. Compensation provisions of the Labor Code, you must forth- Oven —Dryer _W.M._ ADDRESS V C 06X 1331 with comply with such provisions or this permit shall be Top _ FAU —W.H. — deemed revoked. Hood CITY % 4t"t Tel. No.�,�';3�' LICENSED CONTRACTORS DECLARATION _ Fan _Other_ j PTyt Disp. _ Room Air Cond. LICENSE M fi,I> Class. MBER (commencing with Section y lie of Division 3 of the d effect. Power Apparatus&Large Appliances DISTRICT O PROCE BY Qom„' and Professions Code,and my license is in full force and effect. tn'/O Size&Type HP, KW, KVA, or KVAR License Number Lic. Class ( Up to 1 Incl. L Over 1 to 10 Incl. DATE 7 O 7 E� Contractor. Zi-/ `"r� G"�'� 'z-1 Date ®13 C. C% VALIDATION I... ❑ Over 10 to 50 Incl. FIN41. i W W I am exempt under Sec. Over 50 to 100 Inc. N B.&P.C. for this reason Over 100 Z Services, Swbd., MCC&Ponelboards Date: 0 -200 Amp. Under 600 V Signature 201 - 1000 Amp. Under 600 V ❑ Over 1000 Amp. or Over 600 V Exemption for Reg. Maint. Elect. SINGLE FAMILY Temp. Power Pole&Appurtenances 0 0 0 o u HOME OWNER-BUILDER DECLARATION Sign with One Branch Circuit I hereby affirm that I am exempt from the Contractor's License J o o 21,- 0 Law for the following reason (Section 7031.5, Business and Additional Sign Branch Circuits Professions Code): o 0 n ❑ I, as owner of the property, will do the work and the M:sc. Conduits&Conductors structure is not intended or offered for sale (Section Other(See Complete Fee Schedule)_ ® 0 h 1 J` 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued PERMIT FEE (Sub-Total) (Sec 3097, Civ C.) PLAN CHECKING FEE Lender's Name PERMIT ISSUING FEE Lender's Address d I certify that I have read this application and state that the TOTAL FEE lB� above information is correct, I agree to comply with all County ordinances and State jaws regulating Electrical wiring, and hereby authorize representatives of this County to enter upon the o - entioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 6-i+3- Signature of Permitte Date • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0608250021 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 6317 SULTANA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SCAR CA 917752031 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 5382-021-021 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C C2 SPAS, HOT TUBS, OTHR 1.00 SPA 54.45 TENANT: G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: TOTAL FEES 86.10 08/25/06 JK 02/21/07 OWNER: TEL. NO: 70;r E i FI L BY: CODB: BALHUENA MARIANO C;TRINIDAD (626) 287-1926- �✓�',vL 6317 SULTANA AV SGAB 917752031 DESCRIPTION OF WORK TUB WILL BE REPLACED W/JACUZZI AND 2 ADDITIONAL LIGHT FIXTURES APPLICANT: TEL. NO: SAME AS OWNER SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC YIN METAL YIN UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # OSOB ELECTRICAL PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0505 0608250004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 ERT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 6317 SULTANA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAH CA 917752031 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 5382-021-021 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C G1 OUTLETS-LGT,SW,RECP 1.00 OUT 1.95 TENANT: G2 LIGHTING FIXTURES 1.00 LGT 1.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: J8 ELEC HEATERS +3-10HP 1.00 HEA 19.65 08/25./06 JK 02/21/07 TOTAL FEES 51.30 OWNER: TEL. NO: F -,It TE FINAL BY: CODE: BALHUENA MARIANO C;TRINIDAD (626) 287-1926- 9 � 6317 SULTANA AV SGAB 917752031 DESCRIPTION OF WORK ELECTRICAL FOR BATHROOM REMODEL APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO TEMPORARY POWER POLE UNDERGROUND CONDUIT ARCHITECT OR ENGINEER: TEL. NO: LIFER GROUND LIC. NO: ROUGH CONDUIT ROUGH WIRING MAIN WATER LINE PLASTIC Y/N METAL Y/N UTILITY COMPANY NOTIFIED REPORT ID: DPR265 ROUTE TO: BS050B